Impact of a Multimodal Intervention on Peripheral Venous Catheterization of Cancer Patients (MultiCat)

Escola Superior de Enfermagem de Coimbra

Status: Completed

Conditions: Catheterization, Peripheral

Treatments: Device: PIVC pack

Study type: Interventional

Funder types: Other

Identifiers

NCT04085042

Esenfc

Details and patient eligibility

About

Peripheral intravenous catheterization (PIVC) is the most frequent invasive clinical procedure in a hospital setting, associated with significant complication rates for the patient, compromising their well-being, as well as the quality, safety, and efficacy of the care provided. The traditional approach to PIVC is considered reactive and ineffective, resulting in the exhaustion of the patients' peripheral venous access prior to consideration of other access methods and options (Moureau et al., 2012).

Evidence suggests that the safety and effectiveness of patients with a peripheral catheter are also intrinsically associated with the adequacy of materials and technologies used in clinical contexts for vein selection, as well as for catheter insertion and maintenance care (Marsh, Webster, Mihala & Rickard, 2017). Several studies point to the inadequacy of the technologies and medical devices used in this area, enhancing the occurrence of complications such as infection, phlebitis, occlusion and accidental catheter removal (Braga, 2017; Costa, 2017; Nobre & Martins, 2018).

The project investigators aim to determine whether the use of a PIVC pack will significantly reduce associated complications when compared with the usual care. Additionally, the research team aims to determine if the use of a PIVC pack will reduce the number of insertion attempts and overall procedure time, as well as improving patient and provider satisfaction.

Enrollment: 200 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participants who require peripheral intravenous catheterization as part of their therapeutic plan (caliber 20G or 22G);
• Participants whose primary nurse agrees to participate in the study;
• Participants who are able to give written assent or oral assent.

Exclusion criteria

• Confused and/or disoriented participants;
• Participants who are unable to communicate orally and/or in writing.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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200 participants in 2 patient groups

Usual Care

No Intervention group

Description:

Usual care during peripheral venous catheterization. Nurses will continue with the normal routine practice, by preparing all needed material individually.

PIVC pack

Experimental group

Description:

Nurses will use a sterile pack that includes all needed devices for peripheral intravenous catheterization according to the latest evidence (eg, cannula, swabs, disposable tourniquet, antiseptic).

Treatment:

Device: PIVC pack